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TIERRA SHANEL RICHARDSON
NPI 1740796945
Nurse Practitioner - Gerontology in Bowie, MD

Active since December 26, 2017PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
14300 GALLANT FOX LN, BOWIE, MD 20715(301) 805-4348 Get Directions Write a Review

NPPES record last updated: June 14, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 17, 2018, Dec 26, 2017 (2 updates tracked since 2017).

About Tierra Shanel Richardson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIERRA SHANEL RICHARDSON (NPI 1740796945) is an individual gerontology provider in Bowie, Maryland, licensed in Maryland (R20340) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of George Washington University School Of Medicine (2017).

NPPES Registry Identity

NPI1740796945
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameTIERRA SHANEL RICHARDSON
Location Address14300 GALLANT FOX LNBowie, MD 20715-4003
Mailing Address15616 Burford LnUpper Marlboro, MD 20774-8410 · (240) 893-1510
Phone(301) 805-4348
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2017
Enumeration DateDecember 26, 2017
Last NPPES UpdateJune 14, 20222 updates tracked since enumeration
NPPES CertifiedJune 14, 2022
✔ NPI 1740796945 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MD · R20340
14300 GALLANT FOX LN, Bowie, MD 20715
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tierra Shanel Richardson is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012391691
PECOS Enrollment IDI20220831000616, I20230308000878
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
221 services165 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
121 services121 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
63 services57 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
41 services41 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
34 services34 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
27 services27 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20715 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. RAKESH ARORA M.D.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
RAKESH ARORA M.D. F.A.A. F.P.,P.A.
Family Medicine
14300 GALLANT FOX LN, SUITE 222
BOWIE, MD 20715
Prince George's County (301) 262-7800
DR. JAMES HOWARD WISE PH.D.
Psychologist
14300 GALLANT FOX LN, SUITE 211
BOWIE, MD 20715
Prince George's County (301) 262-2828
KATHLEEN TOMCZYK BOETCHER P.A.
Physician Assistant
14300 GALLANT FOX LN, SUITE 118
BOWIE, MD 20715
Prince George's County (301) 464-3020
MS. MARSHA ROSS LCSW-C
Social Worker (Clinical)
14300 GALLANT FOX LN, SUITE 216
BOWIE, MD 20715
Prince George's County (301) 805-8565
MS. DIANE PISANO LCSW C
Social Worker
14300 GALLANT FOX LN, SUITE 107
BOWIE, MD 20715
Prince George's County (301) 805-5124
RONALD F MOSER, D.D.S., P.A.
Dentist
14300 GALLANT FOX LN, SUITE 208
BOWIE, MD 20715
Prince George's County (301) 464-3500
PHS MULTISPECIALTY SERVICES
Surgery
14300 GALLANT FOX LN, SUITE 224
BOWIE, MD 20715
Prince George's County (301) 262-8291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tierra Richardson's NPI number?

The NPI number for Tierra Richardson is 1740796945. It was assigned to this individual provider in the NPPES registry on December 26, 2017.

Where is Tierra Richardson located?

Tierra Richardson practices at 14300 Gallant Fox Ln, Bowie, MD 20715. The listed phone number is (301) 805-4348.

What is Tierra Richardson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Tierra Richardson enrolled in Medicare?

Yes. Tierra Richardson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Tierra Richardson affiliated with any hospitals?

According to CMS data, Tierra Richardson is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Tierra Richardson was last updated on June 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.